Jeanne Rae Crafts

Order Form

Please type or write clearly. For your own security, do not email credit card information! Privacy Statement
U.S. addresses only. Please email for information on orders outside of the U.S.

Most orders shipped within 1-2 days.

NAME _____________________________________

PHONE work___________________ home__________________

MAILING ADDRESS: ____________________________________________

______________________________________________________________

CITY __________________________________________

STATE: ________________ZIP_________________

EMAIL: ___________________________________________    DATE: ___________________

Quilt Patterns - $4.00 each

PATTERN	HOW MANY?	COST EACH	TOTAL
SUBTOTAL
SHIPPING/HANDLING $1.50 EACH PATTERN
VERMONT RESIDENTS ADD 6% SALES TAX
TOTAL

Method of payment: CHECK MONEY ORDER CREDIT CARD: VISA   MASTERCARD

Card # __________________________________________ Expiration date __________________________

SIGNATURE______________________________________ PRINT NAME ___________________________

Mail, call or fax to: Phone: (802) 334-7298

Jeanne Rae Crafts Fax: (802) 334-7298

74 Cedar St. Website: www.jeanneraecrafts.com/

Newport, VT 05855-9556 Email: order@jeanneraecrafts.com